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Name as in SSLC Certificate

Date of Birth as in SSLC Certificate

Gender

Male
Female

Nationality

Religion

Aadhar Number

Permanent Address

PIN Code

District

State

Name of Father

Father Phone Number

Name of Mother

Mother Phone Number

Student Phone Number

E-mail

Blood Group

Course to which admission is sought

DECLARATION

We hereby declare that the particulars given above are correct and we will abide by the rules and regulations of the college as specified in the college prospectus and calendar from time to time .

I agree

ADMISSION FORM 2026 – 27

DECLARATION

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